Adult Intake Packet
If you are a new patient, please fill out all of the forms and bring them with you to your appointment along with your insurance card and drivers license. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you.
Child & Adolescent Intake Packet
If you are a new patient under the age of 18, please fill out these forms, as well as the "DSM Child Form" and bring them with you to your appointment along with your insurance card. Paperwork can be emailed to you prior to your initial appointment. Please return all paperwork prior to your initial appointment if possible. Thank you.
DSM Child & Adolescent Form
(complete prior to initial appointment)
The following is the list of insurances with which we participate. This list will be updated from time to time as needed:
Ambetter of Tennessee
Benefit Administrative Systems
Cigna Behavioral Health
Military One Source
TLC Benefit Solutions
United Health Care
GA Crime Victims Comp
Several EAP Plans
*Insurance participation varies amongst EnSpire Counseling & Wellness providers, please be sure to verify participation with your insurance prior to your visit.*
- You should always check with your EnSpire Counseling & Wellness provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.
ALL COPAYMENTS/DEDUCTIBLES ARE DUE AT THE TIME OF SERVICE.